Obstetrics and Gynecology Department, Asturias Central University Hospital and Oviedo University Oviedo, Gijón, Spain.
J Sex Med. 2011 Aug;8(8):2144-51. doi: 10.1111/j.1743-6109.2011.02309.x. Epub 2011 Jun 16.
Sexual function assessment is relevant to improve female health care.
Assess sexual function in postmenopausal women and determine predictors related to sociodemographic, lifestyle, and health-related female/partner data and tool measures.
Cross-sectional study in which 117 sexually active postmenopausal women filled out the 14-item Changes in Sexual Functioning Questionnaire (CSFQ-14), the 10-item Center for Epidemiologic Studies Short Depression Scale (CESD-10), the Menopause Rating Scale (MRS), and a general questionnaire containing female/partner data. Correlations between tool measurements and female/partner data were analyzed.
Primary end point was sexual function predictors.
Median age was 57 years, 8.5% had low income, 3.4% had surgical menopause, 17.1% had hypertension, and 66.7% increased body mass index. In addition, 21.4% were current hormone therapy users and 28.2% engaged in regular exercise. According to the MRS, muscle/joint problems (86.3%) and physical/mental exhaustion (81.2%) were the top encountered menopausal symptoms. Also, 48.7% displayed depressed mood (CESD-10 total scores ≥ 10) and 64.1% displayed total CSFQ-14 scores ≤41, suggesting sexual dysfunction. Internal consistency (Cronbach's alpha) was high for all tools: total CSFQ-14 scale (0.87), total MRS (0.80), and the CESD-10 (0.85). CSFQ-14 total scores inversely correlated with MRS scores (total, psychological, and urogenital, P < 0.05). Arousal scale scores inversely correlated with MRS total and urogenital scores whereas orgasm scores only with the total MRS. CESD-10 scores inversely correlated with all CSFQ-14 scores and positively with all MRS scores. Multiple linear regression was used to obtain a reduced best-fit model predicting total CSFQ-14 scores (sexual function). Total CSFQ-14 scores were positively correlated to female education, and education and regular exercising in the partner and inversely correlated to CESD-10 total scores.
Assessed with the CSFQ-14 tool, sexual function of this postmenopausal sample correlated to female/partner educational, lifestyle, and health factors. More research is warranted in this regard.
性功能评估与改善女性健康相关。
评估绝经后女性的性功能，并确定与社会人口统计学、生活方式和与女性/伴侣相关的健康数据以及工具测量相关的预测因素。
这是一项横断面研究，共有 117 名有性生活的绝经后女性填写了 14 项性功能变化问卷（CSFQ-14）、10 项流行病学研究中心短抑郁量表（CESD-10）、绝经评分量表（MRS）和一份包含女性/伴侣数据的一般问卷。分析工具测量与女性/伴侣数据之间的相关性。
主要终点是性功能预测因素。
中位年龄为 57 岁，8.5%收入较低，3.4%为手术绝经，17.1%患有高血压，66.7%的人体重指数增加。此外，21.4%正在使用激素治疗，28.2%定期运动。根据 MRS，肌肉/关节问题（86.3%）和身体/精神疲劳（81.2%）是最常见的绝经症状。此外，48.7%的人表现出抑郁情绪（CESD-10 总分≥10），64.1%的人表现出 CSFQ-14 总分≤41，表明存在性功能障碍。所有工具的内部一致性（Cronbach's alpha）均较高：CSFQ-14 总分量表（0.87）、MRS 总分量表（0.80）和 CESD-10（0.85）。CSFQ-14 总分与 MRS 总分呈负相关（所有，心理和泌尿，P <0.05）。唤醒量表评分与 MRS 总分和泌尿评分呈负相关，而性高潮评分仅与 MRS 总分相关。CESD-10 评分与 CSFQ-14 所有评分呈负相关，与 MRS 所有评分呈正相关。采用多元线性回归获得了一个简化的最佳拟合模型，用于预测 CSFQ-14 总分（性功能）。CSFQ-14 总分与女性教育、伴侣的教育和定期锻炼呈正相关，与 CESD-10 总分呈负相关。
用 CSFQ-14 工具评估，该绝经后样本的性功能与女性/伴侣的教育、生活方式和健康因素相关。在这方面需要更多的研究。
